NPI 1043496359

East Side Surgical Group INC

Organisation Specialist Pawtucket, RI

Practice location

Address: 407 East Avenue Suite 200, Pawtucket, RI 02860-5299
Phone: (401) 312-0023
Fax: (401) 312-0006

Authorised official

Name: Steven I Cohen
Title: President
Phone: (401) 312-0023

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence RI5011 (RI)

Other Specialist providers in Rhode Island →

Registry record

NPI: 1043496359
Entity type: Organization
NPI issued: 16 Jan 2008
Record last updated: 5 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.